Indiana
Professional Licensing Agency
Brandy N. Moulin
Radiology Provisional Permit
License number
XP501837
Date granted
06/11/2009
Date expires
12/11/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46278-5067
indianalicensing.org
ID 8492181
LAST UPDATED 2024-02-15 20:12:46 UTC
LAST UPDATED 2024-02-15 20:12:46 UTC
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